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EM Basic

102 Transfusions of Blood Products

EM Basic

EM Basic LLC

Residency, Student, Medicine, Er, Em, Intern, Health & Fitness, Medical, Education, Emergency

4.6665 Ratings

🗓️ 22 March 2021

⏱️ 26 minutes

🧾️ Download transcript

Summary

Join EM physicians Mike Samuels and Dan McCollum as they discuss different blood products that can be transfused. 

  • Why don't we commonly use whole blood?
  • Who needs to receive packed red blood cells?
  • Are there any dangers to giving platelets?
  • When is fresh frozen plasma needed? 

Episode 100 discussed potential complications, while this episode will discuss why you should be using these products.  Enjoy!

Transcript

Click on a timestamp to play from that location

0:00.0

Hello again everyone. I'm Dr. Mike Samuels, a third-year emergency medicine resident at the Medical College of Georgia in Augusta.

0:08.8

Joining me again today is Dr. Dan McCollum, Assistant Program Director of the residency here.

0:14.3

Good morning, Dan.

0:15.4

Morning, Mike. I'm excited to work with you again.

0:18.6

So last time, we talked about the potential adverse reactions or complications of blood

0:23.4

transfusions.

0:25.0

Today, we are going to talk about the basics of transfusion medicine and component therapy.

0:30.6

It is important to note there are no uniform guidelines regarding the use of component

0:35.8

therapy.

0:37.1

And the when or how to transfuse can be

0:40.2

the subject of some controversy. As before, we have nothing to disclose, and the views expressed

0:47.2

here are our own and do not represent those of the Medical College of Georgia or any other

0:53.2

institution or entity.

0:55.1

So there are four main types of blood products that are parts of component therapy.

1:00.2

These are packed red blood cells, or PRBCs, fresh frozen plasma, or FFP,

1:07.4

cryoprecipitate, and platelets.

1:10.7

All of these are taken from blood donors, although their

1:13.1

preparation can vary. Whole blood transfusions are not done in the United States due to the

1:20.6

difficulty in making an exact match between donor and recipient, as well as the increased risk

1:26.5

of infection and the limited shelf life.

1:30.0

In a deployed setting for the military, whole blood has been used with some success in trauma

1:34.8

patients. However, these are incredibly sick and unstable trauma patients with a limited amount

...

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